Pain

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Another very brief Monday blog post

It’s Monday again.  In fact, it’s the last Monday in May of 2025, the end of a very small and arbitrary era.  It’s also Memorial Day, a day on which I don’t like to say, “Happy Memorial Day,” since it’s a day of remembrance of the fallen, but I do wish you well on this holiday.

I don’t really have anything to write about today.  My brain is borderline completely fried, not least because no matter how often I use the bathroom, I still feel like I have to go, and urgently.  So, I haven’t been getting much sleep, even for me, and what little I get is interrupted every half an hour to an hour.

This is all nothing new, and I’m sure it’s terribly boring for all of you readers.  I do apologize.  I’m basically a boring person.

I have my appointment with the urologist tomorrow, and hopefully that will spell the end of this current situation, at least.  If not, I don’t know what I’m going to do.

Actually, I don’t know what I’m going to do either way.  I am fairly clueless and at a loss.  I don’t know what to do about the future or whatever.  Life is just so uncomfortable all the time.  The Buddhists underestimated things when they said merely that life is inherently unsatisfactory.  Life is frequently quite a bit more than unsatisfactory.

That’s not exactly a rip-roaring insight, is it?  My brain is so foggy and fatigued.  I’m glad that work has at least been productive over these past two weeks, given how uncomfortable and worn out I am.  I’m glad that the discomfort isn’t a necessary prerequisite for work being productive.  If it were, I’m afraid that I would be forced to withdraw my services, so to speak.

Ugh, I’m tired of writing these posts on my smartphone.  It continues to irritate my thumb joints, and I make so many typos because the “keys” are not suited to adult male hands, and probably not to adult female hands, either.  I should just bring my little laptop computer again instead of being lazy.

Of course, that computer is getting on a bit, and frankly, so is this phone.  But I really don’t feel like replacing either of them.  I’ve had the thought, and the intention, that they, like everything else, should be the last of such things that I own.

I don’t know.  I can’t think of anything else to say.  Move along, folks, nothing left to see here today, you know?

Anyway, try to have a good day and a good week.

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The wine of life is drawn, and the mere lees is left this vault to blog of.

Hello and good morning 

It’s Thursday, the day of the week with which DentArthurDent always had so much trouble, and also the day of my prior once-weekly blog posts.  So, you know…welcome back if you’re returning, and welcome if it’s your first time.

We started working at the new office during the day yesterday.  It’s smaller than the previous one, but that’s okay, though I need to figure out where I can lock myself away to give myself a sensory break and to rest my back during the day when I need to do so.  It’s also going to be somewhat more difficult to have a restful lunch, if other people are making noise.

Still, the area around the office is nice, relatively speaking.  It’s much quieter and more tree-lined than our previous place.  There are even some reasonably nice apartment buildings across and down the way.  I can’t help but fantasize about living in one of them and just rolling out of bed to walk across the street in the morning.

Of course, the odds of that ever happening are extremely low.  I don’t think I could pass a background check for an ordinary apartment or whatever because of my record.  So, here I am, where I am, and it’s where I’m likely to be for some time, possibly for the duration.

Also of course, I’m still having significant urinary discomfort and urgency, but the spasm in my flank appears to be dying down, though I fervently hope that I won’t end up being mistaken about that.

I got the reading on my abdominal X-ray through the hospital app, but it seems a bit uncertain in its findings.  It claims that there is not very good visualization, so I don’t know if the stone is there or not. I would give slightly greater odds that it has passed than that it is still there, since one of the possibilities if it were there‒that it be clearly visualized in the ureter‒is definitely not the case.  It would be better, though, if everything were visualized with crystal clarity and there was still no trace of the stone.

I am still very, very tired.  As I think I mentioned yesterday, I don’t think I’ve had more than about an hour of uninterrupted sleep at a time since this whole kidney stone thing began.  I’m not counting general anesthesia, of course, because that’s not actually restful or restorative sleep.  Nevertheless, if someone offered to put me under until this situation is resolved, I would probably take them up on it.  Yes, there is always some risk associated with general anesthesia, but I’m not worried about that; if you die while under anesthesia, it’s just a situation where you go painlessly unconscious and then…stay that way.

It doesn’t sound like a horrible way to die.

I wish I wanted to live, but a fear of death is not the same as a love of life, and will not give you a reason to want to stay alive.

Of course, right now I’m exhausted and miserable, even for my pathetic self, so my outlook is tainted.  I suppose such outlooks are always tainted, but this seems more than usual even for me.

I would love to love my life and myself.  I even went a long time trying to say that I did, as a sort of mantra, a form of autosuggestion, but gradually I got to where I actually could not continue even saying it in my head.  I still can’t so much think the words, “I love my life and I love myself” without feeling very uncomfortable, because I know it isn’t true.

Saying that you love yourself and your life when you know you don’t is not much better than telling someone else you love them when you don’t.

I still think I need to get into a meditation habit, start a serious practice, at least for the time being.  It would be nice to be able to quiet my mind and hear the midi chlorians speaking to me, as it were.  It would be even nicer if people in the public sphere, at least, would practice mindfulness and even metta meditation.

I guess we’ll see if I do it.  In the meantime, I hope you all have a good day.

TTFN

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What shall we do now?

Well, it’s Wednesday now, and since I have no appointments for X-rays or anything similar, I am heading on in to the office.  It’s continued to be a hectic time, and today is supposed to be the day on which we finally begin to do business in the new office, though many things have been moved during the day over the last few days.  I would have thought that the uprooting and shifting would have made working more difficult, but we’ve had very big days, especially yesterday.

It’s good I guess, but it’s annoying, because it means I’m very stressed out by more than one thing.

I’m still quite beat, by which I mean I’m so very tired and worn down and exhausted.  I told the boss yesterday that this last week plus had been one of the top five hardest weeks of my life‒and I pointed out the various other horrible weeks I’ve had so I could try to put it in perspective for him‒but I really don’t think he quite got the point.

I think my inability to convey how I feel, or the tendency for it not to show, as well as my own inherent tendency toward a kind of nihilistic stoicism, means that people don’t really know or at least don’t understand when I’m feeling truly horrible.  I’ve said before that this is why the line from Pink Floyd’s Brain Damage resonates with me so much:  “And if the cloudbursts thunder in your ear, you shout and no one seems to hear…”

I don’t even feel I’m at some breaking point anymore; I think I’m already broken, but I’m hobbling along because of inertia, holding the remnants of me together with paperclips and twine and baling wire.

Anyway, I’m exhausted.  I wish I could get back into writing or drawing or creating songs and doing music or studying more science and math, but though I have had passion for all those things at various times, there is only so much one can do to produce creative things in a vacuum, with nearly no feedback or appreciation, before one gives up.

Van Gogh had a similar situation, I guess (not that I am comparing my ability with his) in that he produced many brilliant works of art, but only one was bought by anyone in his lifetime and no one but his sibling appreciated his ability.  And, of course, finally, he shot himself in the torso and died from the wound not long after.  I can sympathize very much, even with his choice to shoot himself in a way that would not be immediately lethal.  It’s both a fear thing‒a lethal shot is scary to do‒and a form of self-punishment and self-hatred‒one doesn’t feel that one deserves an easy death.

I don’t know what I, myself, am going to do.  I’m just too exhausted from my current situation, and from the feeling that I need to use the bathroom 24 hours a day.

Okay, well, that’s enough for today.  I’m very tired, as I said, and it’s only early morning.  But, of course, my sleep is even worse than usual because of the whole bathroom urgency and flank pain thing.  Ah, whataya gonna do?

I hop that what you will do is have a good day.

***

Addendum:  Well, I’m at the office, and even though the Wi-Fi was supposed to be still active this morning in the office, it seems the movers, such as they are, took the router over with them.  My phone’s mobile hotspot function doesn’t get good enough reception here, and so far the public Xfinity Wi-Fi doesn’t seem to have any ability to do adequate data, so I cannot get anything done at the office.

Why did I bother to come in?  Well, of course, that was largely because I couldn’t sleep and there was no air conditioning at the house, but I also like to get a head start on office stuff.  I’ve even finished the last of the series’ of “light novels” with which I was trying to distract myself, so I can’t even count on any reading to help me.

I apparently will not have a closed area in the new office where I will be able to be at least partly cut off from the noise and all.  I wish I had just stayed at the house today, and maybe never left again.  I don’t even have a guitar here anymore, because I gave away my black Strat.  That action was one of those “gesture” things, to be honest, and I was hoping someone would pick up on the point of it, but either they didn’t recognize it, or‒more likely‒they don’t really much care.

I shouldn’t be surprised.  There are very few people for whom it would actually matter if I die.

I’ve finally been able to get the Xfinity thing working a bit, so I should be able to post this.  After that, I don’t know.  There’s just too much for me to deal with right now.  I wish I could just go to sleep and stay that way.  I hate this life.

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A quick, belated post

This is going to be brief (I suspect) in addition to being late (already).  I have an appointment for an X-ray this morning to follow up and see if the kidney stone has passed, which I hope it has.  So, I’m going to the office late, and writing this‒well starting this‒as I wait for my ride to the hospital to get the study done.  I don’t expect to finish it until afterwards, but who knows?

I wonder whether the little app thing for the hospital system will give me the result of the X-ray when it is read, before I see the urologist.  That would be kind of cool, actually.  I like being able to review my labs and radiology reports without needing the priestly intervention of the physicians, especially since I am one, though no longer in practice.

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Okay, I’m done with the X-ray, which went very quickly.  They seem to be a very well-run place over there.

It’s terribly frustrating that I have to quick duck into the restroom at every full stop (and even some commas).  There’s just a never-ending sense of urgency, probably because of the stent in place and the thread that goes from it to the outside world, and I don’t want to ignore it, of course, because the last thing I want to do is create circumstances for more kidney stones.

It’s a bit of a negative nostalgia situation, as well.  I was the youngest of 3 children (well…I still am) and I tended to have to pee a lot, certainly more than anyone else in my family.  So I ended up having to hold my urine in much more than did my peers*.  Not that people were unkind (though my sixth grade teacher gave me the nickname “Straight Pipes” which is somewhat unkind, I guess, but I took it as affectionate teasing).  But it just means that I have quite a lot of nonspecific memories of desperately trying not to wet my pants while waiting for, for instance, the family car to get somewhere I could use the restroom.

I don’t know, maybe that tendency has something to do with ASD.  I wonder if it could be some sort of sensory sensitivity.  I’m probably overthinking it.

Anyway, this’ll do for now.  Sorry for the delay, and please have a good day.

*Sorry, I couldn’t resist.

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New week, still weak

It’s Monday, and although I am not particularly happy to be starting a new work week, I am definitely glad that last week is over.  Last week was a very bad week indeed.  At a first estimate (and a second one as well) last week was among the five hardest weeks of my life.  And that includes the week of my open-heart surgery when I was 18 (1 week after which I went back to start my second year at university) and the week of my back surgery, and the week of my divorce and of my arrest and all that crap.  I’ve also been in residency, during one November of which I had worked 19 days without break, had a day off, then worked another seven or eight days.  I had one on-call time in the ICU when I literally did not sit down for about 30 hours.  I am not exaggerating.

There was also the week when I was in university and, thanks to some very serious issues between my then-fiancée and my parents, my parents cut me off from support for room and board (not just for a week‒we didn’t speak for about 8 years).  I was on a full scholarship, but I had to scramble to be able to pay for housing and food and books and so on.  That was a hell of a thing.  We got past it eventually, but it was pretty rough 

Anyway, my point is, I’ve been through some shit in my life, but last week, between the pain and the stress of moving, and the horrible rest (even for me), and the more pain, and the schedule that was incoherent for the move at work, and the unexpected (by me) work this weekend and so on, was one of the most difficult and unpleasant weeks I’ve known, both objectively and subjectively.  It had a huge silver lining, of course, in the person of Ezra, my youngest, and I cannot easily exaggerate how wonderful that was.  If not for Ezra, last week might have been the hardest week of my life.  I am, after all, older and much less healthy (especially mentally) than I was when dealing with some of my earlier issues.

It’s probably stupid to try to rank or categorize such life events.  After all, the weighting I give now is colored by my current state of mind, and of course, there are many axes* along which one can measure the “difficulty” of a week, and criteria by which one may judge them at any given time.  Reality isn’t even linear, let alone binary.

My point is, last week was one fucking rough week, and in addition to my physical stress, I came very close to a full-on mental breakdown.  And it’s not as though I have fully recovered; I’ve had all of 1 day of comparative rest, and now I’m heading back to battle.  It’s a mark of how physically exhausted I am that I was able to nap for about two hours straight yesterday afternoon.  But as you may know, I often start off on Monday mornings with relative energy, even sometimes with slightly ambitious plans, but by the end of the first day of the week, I am often already completely wiped out.

I’m certainly not starting this week from a place of enthusiasm and energy, even relatively speaking, really.  So I guess I’ll see how it goes.  It would be absurd, magical thinking to expect that I’ll feel better at the end of the day because I’m starting the morning from a relative low, since that would be a sort of “opposite” pattern.  It would be nice if things worked that way, but as far as I can tell, they don’t.

I hope all of you had a good weekend, and I thank you for putting up with my antics, or whatever you might want to call them.  It’s greatly appreciated.

*By which I mean, the axes of a Cartesian style graph, e.g., the x-axis, the y-axis, not as in “more than one sharp, wedge-based tool such as are used for chopping wood”.

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It’s Saturday now

And I’m in the office.  I haven’t come to the office this time, of course, I’ve just been here since yesterday, as I noted in my confusing and single-paragraph post yesterday evening.  I slept at the office, on the floor, and it was just as comfortable in many ways as if I had been at the house.  True, I couldn’t shower, but I’ve buzzed my hair down to 1/4 inch after seeing how it looked after I was in the hospital, and so it’s impossible to tell just by looking that I’ve not showered.  I usually have deodorant and other toiletries at the office, but those are already moved to the new office now, so I’m going to need to go over to the convenience store and get some deodorant and mouthwash this morning.

As for the house, well, there’s a reason I don’t refer to it as home.  It’s not a home to me.  I haven’t felt like I have a home since before I went to FSP.  No, it’s just a place I can hide for a while at a time, and not have to interact with anyone, and where it’s just my stuff inside, such as it is.  But I don’t feel at home there, I don’t feel comfortable, it’s just a place I’m existing.  I don’t even have a real chair there, though I have a piano bench and a folding metal chair tucked into a corner.  When I’m at the house, I just recline on a pile of pillows on the futon on the floor.  It’s good for my back in the short term, though after I stay there for a while it tends to backfire*.

Everything in my existence orbits around pain.  I guess it’s no irony that one of the two songs I have had memorized on piano for decades now is the Police’s King of Pain (the other is Eleanor Rigby by the Beatles).  Maybe it’s because I memorized that song that my life took on its current aspect.

I don’t really believe that, of course.  That’s absurd, magical thinking, and there’s no evidence that it’s the way the real world works, except through confirmation bias and the like.

Right now it still hurts to urinate, with spasms up in my right side and flank, which lingers a little even in between.  It’s nothing compared to the acute onset of the issue, but it’s still there.  And my back and hip and leg pains haven’t ceased to exist out of some strange courtesy.

I’m overwhelmed, and not in a good way.  There is too much happening in my head and around me right now, too many stupid little, annoying changes, too many deeply unpleasant surprises, too much chaos and randomness even in the day-to-day routines.  I am overwhelmed.

I used to be a person who could accomplish things, at least partly because I had people around me whom I loved and for whom I wanted to make things good as much as I could.  I cannot do good for myself.  I cannot live for myself.  But I used to be able to do good and make good things and relieve suffering.  I’ve saved people’s lives and even helped ease people’s deaths when it was appropriate.  Some of the most copious thanks I’ve ever received were from the families of patients who had died.  I was told by one family that, before he died, their 96 year old father/grandfather said I was the first doctor he’d had that he felt that he could trust.

Now look at me.  Or rather, don’t look at me.  I’m disgusting to start with, with my teeth that used to be good but have been ravaged by years of pain killers and prison and then just an inability to have the energy to take the very good care of them I used to take.  Also, I’m currently crying, and there’s snot on my face.  I don’t look great at the best of times anymore, and certainly no one is going to want to look at me now.

I’m caught in the pincers of some kind of weird metaphorical tweezer.  I cannot stand the thought of trying to change my situation; the idea of moving, of trying to change jobs, of trying to find something, is literally horrifying–imagine needing to wade through a swimming pool filled with roaches and centipedes and maggots and other larvae, above which soars a nearly-opaque cloud of mosquitoes, all female.

But staying where I am, doing what I’m doing, is just as horrifying, and now there are a bunch of new stressors, not the least of which is my fresh, new pain problem, which hopefully will be temporary, though it isn’t gone yet.  I guess a week is a relatively short time, and maybe I’m expecting too much, but it’s a fucking huge level of discomfort, and I don’t have the mental resources to deal with it, not on top of everything else.  Why I am I continuing to endure my already-existing chronic pain, my anxiety, my depression, all the other things associated with my hitherto undiagnosed ASD, and then now dealing with newly discovered problems?

I’m overwhelmed.  I cannot summon the will to make a change, or even the conviction that I ought to do so, because I cannot really think straight.  I cannot imagine what to do.  I don’t know that there is any way at all to escape, except by dying.  And I am always afraid.

You might think that after having pain every day for decades and having lost basically everything that ever mattered to you and for which you had worked so hard for so long you wouldn’t have any need to be afraid anymore.  What do you have to lose, after all?  But fear is not a rational thing, it’s not the conclusion of a thought process, it’s an emotion, one in which nature has invested heavily, and having pain after pain for a long time, of various kinds, can cause a “learned-helplessness” reaction related to depression, but even then, fear doesn’t go away.  One is always afraid of yet more pain.  One is afraid of facing another day with the same old pain.  One is a afraid that one is going to live a long, long life and never for one day of the rest of it not be in significant pain.  One is afraid that one will also be alone for the rest of that long life, with no comfort and little joy.

I don’t know what’s going on.  I mean, I’m writing this post, of course, that’s going on.  But I don’t know what else.  I’m falling apart, I think.  I’m breaking down.  Like I said yesterday, I can practically smell the melting plastic and circuitry in my mind.

Whatever.  Nothing I do or say matters, nothing I am matters.  I don’t know what I expect to happen because I’ve written about this.  I feel a bit like Frodo crying out for his friends in “Fog on the Barrow Downs” after they’ve been separated, but the only answer I will probably get will be from some foul undead spirits.  There’s no Tom Bombadil out there to come rescue me.  I wish there were.  And I could really use Elrond’s healing power, or even Aragorn’s.

That’s enough.  Go on, go read something else.  No one wants to feel miserable, and that’s how I tend to make people feel, so you should probably find something comical or at least entertaining to explore, and just try to have a good weekend.

*Honestly, no pun intended.  I didn’t even notice it until the editing process.

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A nameless Friday blog post

It’s hard to believe, but something truly obvious didn’t even occur to me until yesterday afternoon as I was getting ready to leave the office.  I was really worn out and tired and grumpy, and I said to my coworker, who was very kindly giving me a ride to the train station, “If I were a sane person in a civilized world, I wouldn’t even have come to work at all this week.”

That’s when I thought: the people at the hospital probably didn’t expect me to go back to work this week.

Meanwhile, this has been one of our busiest weeks in a very long time at the office, and the office is in the process of moving to our new location, and I had to iron out the details of the records from Monday and Tuesday, which were a bit off, and then I had to do the payroll on Wednesday all while having the busiest day of this very busy week so far.

Yesterday was not quite as hectic as Wednesday for me, but on Wednesday I had kind of maxxed the pain med dose so I could get done what I needed to do.  Not so on Thursday.  I want to make sure not to overuse the meds in the short term, since I don’t know when a really bad spasm might happen.  Of course, I’m not taking my usual aspirin either, per recommendation, nor any other go-to NSAIDS, so things are complicated.

Anyway, the meds situation wasn’t what I wanted to discuss.  I just wanted to note how pathological I must be to have not only come right back to work after being discharged from the hospital, but to have applied pressure to get me discharged Tuesday afternoon.  I can’t believe that I even said I would sign out AMA* if I had to do so.

But I am basically on my own; if I don’t work, I don’t eat, so to speak.  Even that is misleading, though, and is not my real reason, which is that I have to be productive or useful to someone, in a way that I accept, or else there is no point to the fact of my continued existence.

I mean, I know no one wants to be around me or to have me around them for fun and pleasure; the copious evidence for that is glaring and even blinding.  But I am capable of being useful in quite a few different ways; even my misautonomy doesn’t force me to deny that I have gifts that can be productive and useful and even sometimes beautiful.

So, if I can’t be useful, well…what’s the use of me?  If I were not at work, what would I be doing but lying around in my one room (plus bathroom) with a malfunctioning AC unit?  

Meanwhile, I still haven’t made my follow-up appointments or any of that.  My sister has offered to help, and I think I’m going to have to take her up on that, though she’ll have to be doing stuff from long distance and second-hand and I still find the process daunting.  It’s really quite pathetic.

And if not being useful is a feeling like being in an intergalactic void, it’s even more horrible to feel like I’m a burden or even an inconvenience to someone else, especially someone who really matters to me.  That’s a failure worthy of fire.

Also, I am tired of being in pain.  Everything in my life centers around pain.  I suppose it should have been obvious for quite a while, but at least since the time I was sent to be a guest at FSP West, pain has been the central fact, the only consistent thing, about my existence.  Now I’ve just added another color, another flavor, another timbre and type of pain to my usual mix.

I suppose one could almost call it refreshing as a change, or one might if it weren’t just absolutely overwhelming at its peak, and none too pleasant when it’s at a lower level.  And while, if one’s pain is in one’s back and legs, it is possible to rest them to some degree, you can’t really rest your urinary tract when it is where the pain is focused.  If you try to drink less, you’ll only make the primary problem worse, but of course, drinking more (hopefully to get the stone to pass) does mean more of the acute discomfort in the meantime.

Why am I doing any of this?  Why am I continuing?  It’s certainly not out of any sense of my personal value.  I’m just a maggot-ridden turd lying by a dirt path in a humid, stagnant, pollen laden drizzle that doesn’t refresh anything or allow anything but mold and fungi and coprophagic organisms to grow.  I’m so tired.  I have no purpose, and I am so tired.

Anyway, this ought to be it for this week.  I don’t think there’s a plan for the office to be open tomorrow.  If it is, by rights I ought not to come in anyway.  But since the alternative is just lying around by myself, and since I’m stupid, and I don’t live in a civilized world, and I am certainly not sane, if they open the office, I will probably be here.  If so, I’ll probably write a blog post.

Until my next post, whenever it is, I truly and sincerely and urgently hope you all have objectively good days and nights and everything else.  If my words have the power to make anything real, that is what I would want.

*Against medical advice.

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You blogs, you stones, you worse than senseless things!

Hello and good morning.

It’s Thursday, and here I am writing another blog post to prove that yesterday’s was not a fluke nor a false flag nor any other term beginning with “f” other than perhaps “fair play”.

By the way, I may have previously used the Shakespeare-based title above‒it’s just so easy to make, and I’ve always loved that line from Julius Caesar‒but I don’t care.  It’s too perfect for my current circumstances to miss the chance now.  I mean, blogs and stones?  Come on!

I’m on my way to the office, and speaking of stones, I am far from being over the process of having, let alone passing, my kidney stone.  I’m trying not to overuse my pain meds, largely because they tend to have diminishing returns, and I want them to work when I really need them.  Also, they are quite…well, constipating.  Now, it’s true that I didn’t eat all that much over the course of the early part of this week, and of what I did eat, much of it didn’t stay down.  Still, I went Sunday through Wednesday without doing anything but peeing.

I have been doing a lot of that of course, deliberately.  It is not pleasant.  The pain is not like it was Saturday night, Sunday, and Monday, but it still doesn’t let me forget.  And, of course, we’re moving office this week, and that adds extra hecticity*.  

I don’t know how much you all would want to hear (that I haven’t already said) about what went on in the hospital.  I did talk about it a great deal yesterday.  I suppose I’ll play it by ear and just bring up things that occur to me as interesting.

I have not yet made my follow-up appointments, but I need to try to do so today, if I can.  Even writing about it makes me feel very tense and anxious.  I know there’s no good reason for feeling anxiety and resistance toward such things, but at least now I know something of the cause:  It has to do with ASD, with possibly some pathological demand avoidance, but also just with associated, fairly severe, social anxiety.

But I have to try, and I want to try.  I’ve been rather impressed by the hospital and its associated staff and attending physicians and their network and such, and I would like to get myself plugged into their system if I am able to do so.

They seem quite generous and caring as a tendency and policy.  They do everything from providing free meds for when you go home to getting you a Lyft if you don’t have a ride.  I think that’s pretty nice.

It was oddly nostalgic, being in the hospital.  Well, I suppose it’s not so odd.  I spent much of my earlier adult life in and around hospitals, from med school to residency to medical practice, nineteen years in total.  I guess I miss it.  It was nice working with intelligent, disciplined, professional people at all levels and being able to relieve and even prevent suffering, all while getting a good amount of intellectual stimulation in the form of understanding and solving complex problems.

I don’t expect that I will ever do it again, though.  There are ways, I am sure, to fight to try to get my license back and so on, but it’s not the sort of process for which I have any avidity.  When civilization falls apart, as it appears to be about to do, I can perhaps find a time and reason to lend my skills to the survivors, if I am one of them, which seems unlikely.  Otherwise, I don’t feel a lot of enthusiasm for supporting the world as it is.  Humans have revealed themselves over and over‒by and large‒to be inadequate to tasks that require actual cooperation and consideration and compassion and humility.

It’s ironic that humility is so challenging for humans.  Given how profound their limitations and failings are (despite undeniable strengths, as well) you might imagine that humility would be easy.

But somehow, the default setting even of those who try to be humble is to characterize themselves as absolutely worthless‒which from a certain point of view is always true, but which misses the point of real humility.

Humility is not self-hatred or self-contempt or self-destruction (from which, to some, the only rescue is through some imaginary supernatural being); it is a recognition that one is and will always be limited, capable of error, and incapable of being perfectly objective about oneself and the nature of one’s existence.  With such self-knowledge, one will tend to be better able to make good choices about oneself and others.

Maybe I should try meditating again, to try to keep myself calm when possible.  It might help with my serious social anxiety.  It would probably also help me to get less upset over the idiocy of the current administration**.  And perhaps my mind would then be more useful overall.

Anyway, that’s enough for now.  I hope you all have a good day and try not to get too upset, yourselves.  The world is going to end soon, but that has always been the case‒it’s just a matter of time scales.  On other scales, even a single mayfly’s life is practically eternal.

TTFN

*I think I made that word up, but it seems too good not to use.

**It would be nice to administer a fair amount of current to the members of this US administration, though‒alternating current, with enough voltage and amperage to cause serious discomfort, but not enough to kill them…at least not quickly***.

***See?  Upset.

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I am not Thorin, son of Thrain, son of Thror…

…nor am I King Under the Mountain.

Nevertheless I return.

I hope no one was too worried about me these last few days, though I have probably given you cause to worry.  Honestly, though, I was in a fairly dire situation.  On Saturday night/Sunday morning I woke up just after midnight with what started as right lower quadrant abdominal pain, which at first I thought was some “normal” GI cramping, maybe from something I ate that I shouldn’t have eaten.

As it rapidly worsened, I became more concerned.  I checked myself for fever (didn’t have one) and for abdominal tenderness, including rebound tenderness.  That wasn’t really there either.

If you are a medical professional, you might recognize that I was worrying about my appendix.  And though the location was right (lower quadrant, ha ha), there were some things missing.  Still, I was concerned, and the pain was worsening.

To make sure I wasn’t being reckless or silly, I bothered my poor sister with a phone call in the middle of the night (she was very kind about it).  She asked me a few questions, tried a little light-hearted banter to try to relax me (I was, regrettably, not amenable, and I fear I might’ve been rude).  The final thing she said was to point out that I have chronic, often severe, pain.  If this was much worse than that‒and it was‒then I needed to get it looked at.

She is wise, my sister.

I had to finish the call quickly and call 911 because the pain continued to increase.  There was no other credible option but an ambulance.  I don’t have a car, but even if I did, I was not capable of driving at all, let alone safely.  There was no one who could drive me, nor was I going to call an Uber or Lyft.  The delay in that, both at pre-pickup and at the hospital, would be intolerable.

As I tried to keep speaking with the 911 operator, I went outside, onto the back patio, where I eventually laid down on the concrete, confusing at least one cat to a level that would have made Monty Python proud.  I figured it would be easier to get to me there, outside.  The lying down part was because I didn’t want to sit or stand, and didn’t care about getting dirty.  I also didn’t have any shoes on.

Then it occurred to me that I didn’t want to awaken my housemates, who have dogs that would bark if people walked up beside the house with a stretcher, so I made my awkward way to the front of the house, to the sidewalk, where I sat down, first with my back to the gate post.  Then the first real right mid-back (or flank) pain added itself to the mix and I think I cursed as quietly as I could and slumped to my side, trying to ease the pressure.

The 911 operator told me the EMTs were just arriving, and she was right.  I thanked her and said goodbye (my Mom and Dad did not raise their children to be rude to those who legitimately and professionally help others in emergencies).

The EMTs were very professional, and they were the first to recognize what turned out to be the case, though the ER doc also took one look at me and ordered an immediate non-contrast abdomen and pelvis CT which revealed the specifics of what he and the EMTs had clearly recognized:  I had a kidney stone in my right ureter.

So, to bring an already drawn-out explanation to a provisional conclusion, that’s why I’ve not written a blog post either on Monday or Tuesday of this week.  I’ve been in a torture chamber of my own body’s making.

Still, there are some compensations.  One gets pretty thorough evaluations when in hospital.  I learned, for instance, that though my blood sugar was rather high at first, largely due extreme physical stress, it came down to just above normal.  A hemoglobin A1C that was added on showed that I was high normal/low abnormal, or pre-diabetic.  Diabetes does run in my family, and also, I’m sure I have chronically elevated levels of cortisol and related hormones in my body that make such things worse.

Of more mild interest was that I had lowish hemoglobin and hematocrit, and my blood concentrations of hemoglobin and RBCs were low.  In other words, I was borderline anemic.  This was a mild surprise until I thought about how much aspirin I take.  As part of taking that aspirin, I also take acid blockers to protect my stomach (and to combat GERD).  So, from two ends, that can explain a bit of anemia:  some low-level blood loss over time from aspirin’s antiplatelet effects and probably chronic gastritis, and somewhat decreased iron absorption, since the acid in one’s stomach facilitates that absorption.

I know this much in such detail because of a cool service the hospital offers, which is an app on which you can access your test results and (to some degree) other medical records.  It’s really quite nice, because too often, people have only vague ideas of what their tests mean, and they arrive when the occasion might already be fading in their minds.  That doesn’t happen to me, of course‒mine is the superior mind, like Khan, who was even more in his own way than I tend to be.

Ha ha.  I am of course exaggerating, and not just about Khan being more in his own way than I am.  This app’s data is great information to have.  They even give you little notification dings when new stuff is added.  It can be handy.

I’ll go more into what happened in the hospital at another time, but I will give a spoiler or two now:  I have not passed the stone, but I have a stent in my right ureter and I am on meds to try to help that to let the stone pass.  My pain is not completely gone, but there is only a bit of right flank ache and spasm sometimes when I use the bathroom*, and a fair amount of blood and irritation in the urethra from the stent placement.  That’s always fun.

Also, I kind of pushed to get out earlier than they really wanted me to leave, because I have to do payroll for the office today.  It would be possible for my coworker or my boss to do it, but when you’re doing something you don’t usually do, there are much more likely to be errors, and I don’t want people to be accidentally underpaid (or overpaid).

Even before I finished the first draft of this blog post, I already found two places where that would have happened had I not come back.  So, while I was probably somewhat foolish‒I’ll tell you later about another extremely foolish thing I considered doing when my pain first subsided a bit on Sunday‒I am also confirmed in my judgement.  And the needs of the many (ceteris paribus***) outweigh the needs of the few or the one.

One final thing, the most important of all things, before I go.  While I was in the hospital, my youngest, Ezra, having followed my little comments on Threads or Instagram, realized that I was in the hospital and why and contacted me and came to visit me in the hospital!  That’s right, for the first time in almost 13 years, I got to hug my child.  They also made plans to get together with me more regularly.  

So, let me address the notorious question:  Is a kidney stone the worst pain I’ve ever experienced?

Absolutely.  And I’ve been through open-heart surgery and fractured my right scapula and had back surgery and “failed back surgery syndrome”.  We ASDers, supposedly, do not like to exaggerate if we can avoid it, but there was at least one time, and I think several, when I was asked what my pain was on a scale of 1 to 10, and I said 10 with no hesitation.  Sometimes I only said 7 or 8.5 or 9 or 9.5.  I try to be as precise as feasible.  But there were 10s in there, and I normally treat 10s on such scales like massive objects trying to go the speed of light, or probabilities in the real world trying to get to 1.

Was it worth it to get to see my child again?  Well, I would be afraid to offer to experience it again with that outcome in mind, but I would be willing.  Yes, it was worth it.

I will speak more about this tomorrow.  Thank you for your patience and apologies for any anxiety you might have had on my behalf.

*Perhaps because I’m not using it for that for which it is intended, which is, obviously, to bathe**.

**That’s an attempted joke.

***In the real world, ceteris is almost never paribus.

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Nothing very interesting

It’s Friday.  I wish I could feel happy about that.  I can remember back in high school, especially, when I would look forward to Friday, because my friends and I would probably be getting together at one of our houses to play role playing games over the weekend.  Other kids might sometimes abuse certain drugs (usually nothing worse than marijuana) but we just abused coffee.  We were often up waaay into the night.

I was almost always the first one to wake up even after a long night of gaming.  I was also the first one in my house to wake up during the week.  I guess one could see the shadow of where the insomnia tree was growing already, but I didn’t know to recognize the signs.

In college, I would often go downtown on Saturday to the city center where there were some shops and stuff, just to wander around (though there was a pretty good comic book store there).  For a while, I would go to temple downtown on Friday evening and Saturday morning.

Anyway, enough reminiscing.  The good days of the past are not going to return, so whatever.

I’m on my way to the office as I write this, though editing and posting will take place after I get there.  It’s already way too humid down here, such that I sweat just while standing still outside.

We’ve been packing some things from the office and so on to bring over to the new place.  Yesterday, I gathered my science books and my black Strat (see below) at the office and put them in a big, industrial garbage bag.  I was planning to bring them to the dumpster, but my boss asked to take the guitar and stuff for either his brother or cousin, who apparently has only an acoustic.  So, he took that yesterday.

I still haven’t brought my science books to the garbage yet, partly because they are heavy, and I have been having particularly bad issues with my chronic pain this week, as you may know if you’ve read this.  Also, the dumpster was ridiculously full.  It seems we’re not the only people moving.

Actually, I would have thrown away much more of my stuff, but much of it is little things people gave me over time that I never would’ve gotten for myself, like Funcopop(?) figures or whatever you call those.  One doesn’t throw away things that were gifts‒that would be rude.  One of those figures is of Hannibal Lecter, and he would not approve of me being rude with him especially.

Anyway, that’s it.  No more delusions that I’m going to play guitar at the office anymore‒there isn’t even going to be a space for me to do so.  Also, no more deluding myself that I will actually read the various science books ever before the end of my life.  It would be cool, but I don’t see how it’s going to happen.  I don’t expect (or hope) to live much longer, honestly.

Oh, I got a box of syringes delivered yesterday, with needles, in case I want to try the idea from yesterday (nothing drug related, for those of you who don’t go back and check it out).

It’s all a bit frightening, these ideas of how to complete my personal arch of time.  I’ve said before how hard it is to override the idiot biological drive to avoid injury and pain and death.  That’s probably why so many suicides are associated with alcohol and other psychoactive substances.  Maybe I should take up heavy drinking.

That’s not likely to happen.  When I drink alcohol, it seems always to lead to my chronic pain worsening afterward.  Neurochemical stuff is probably involved, a reaction of my nervous system with a rebound after the alcohol.  Anyway, I’ve never been much of a drinker.

I can’t think of anything else about which to write.  Nor to sing, not to draw, nor to play, nor nothing else.  I know, that was technically a sentence fragment, just now.  Sue me*.

If I come to the office tomorrow, I’ll probably write a post.  I apologize again to all those dedicated readers who keep hoping for something interesting or good or amusing or whatever in these posts.  I’m out of fuel, out of ammo, out of pocket, out of this world, and out of my mind.

I hope you have a good day.

*That was not a sentence fragment.